| NPI | 1114185097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A01052) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06002334A) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |